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L12

L12Pemphigoid

Non-billable headerICD-10-CM

L12 is a non-billable header ICD-10-CM code for pemphigoid. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • herpes gestationis (O26.4-)
  • impetigo herpetiformis (L40.1)

Other codes that can never be billed with L12

These codes carry an Excludes1 note pointing at L12. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading L12 alone.

  • L13.0Dermatitis herpetiformis

Risk adjustment

L12 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead L12

6 child codes. Green means billable.

Questions about L12

Is L12 a billable ICD-10-CM code?
No. L12 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does L12 sit in the tabular list?
Diseases of the skin and subcutaneous tissue (L00-L99), in the block Bullous disorders (L10-L14).
What cannot be coded together with L12?
L12 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.